Squanda, Lynn Marie

Squanda, Lynn Marie is an individual health care provider with primary practice located at 1523 S Mission St , Mount Pleasant MI 48858-4230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Squanda, Lynn Marie can be contacted via phone (989) 773-1166.

Contact Information

Primary practice address
1523 S Mission St Mount Pleasant MI 48858-4230
Phone: (989) 773-1166
Fax: (989) 772-6835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013512 Michigan

Profile Details

NPI number 1962437400
LBN Legal business name Squanda, Lynn Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962437400 NPPES
Other 381303843 TAX ID
Other 11289516 TAX ID
Other CC4805 TAX ID
MEDICAID 4547432 TAX ID
Other 0156910035 TAX ID

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